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A 53-year-old man with a simple extra-articular distal femoral fracture (AO/OTA 33-A1) that was managed with submuscular LISS plating. He developed a delayed union. a Preoperative radiograph. b Radiographs taken after LISS plating showing suboptimal placement of plate and screws. c Radiographs taken after hardware removal showed asymmetric callus formation. The most and least callus formed medially (black arrow) and anterolaterally (white arrows), respectively.
